Selected Publication:
Pape, HC; Remmers, D; Weinberg, A; Graf, B; Reilmann, H; Evans, S; Regel, G; Tscherne, H.
Is early kinetic positioning beneficial for pulmonary function in multiple trauma patients?
Injury. 1998; 29(3):219-225
Doi: 10.1016/S0020-1383(97)00190-3
Web of Science
PubMed
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FullText_MUG
- Co-authors Med Uni Graz
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Weinberg Annelie-Martina
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- Abstract:
- Body positioning (kinetic therapy) is known to improve oxygenation in patients with impaired pulmonary function and ARDS. We have used body positioning prophylactically in trauma patients whose injury and pattern predispose to ARDS. This retrospective study reports the effects of early prophylactic (group P) versus late (group L) axial rotation on pulmonary function and the incidence of ARDS. Both groups were comparable in age, injury severity and the degree of thoracic injury. Systemic oxygenation was significantly better and the incidence of ARDS significantly lower in group P (group P: 34.3 per cent, group T: 74.1 per cent, P < 0.05). There was a tendency towards a lower incidence of pneumonia and a better survival in group P, which did not reach statistical significance. The duration of kinetic therapy and of ventilation was comparable in both groups. In this retrospective evaluation early prophylactic kinetic therapy was associated with a significantly lower incidence of ARDS compared with that instigated later.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult -
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Humans -
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Middle Aged -
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Multiple Trauma - therapy
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Posture - therapy
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Respiratory Distress Syndrome, Adult - prevention and control
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Retrospective Studies - prevention and control
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Rotation - prevention and control
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Treatment Outcome - prevention and control